30 September 2025
: Case report
Severe Liver Dysfunction Within 48 Hours of Thionamide Therapy in Thyrotoxicosis: A Case Report
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment
Christopher Annabi ABCDEF 1, Laila Noor ABCDEF 2, Jamie A. MullallyDOI: 10.12659/AJCR.948822
Am J Case Rep 2025; 26:e948822
Table 1 Thyroid function on initial presentation at outside hospital.
| Reference range | Hospital day 1 | |
|---|---|---|
| TSH (mlU/L) | 0.350–4.70 | <0.002 |
| Free T3 (pg/mL) | 2.0–4.4 | 6.75 |
| Total T4 (mcg/dL) | 5.0–12.0 | 18 |
| TSH – thyroid stimulating hormone; T4 – thyroxine; T3 – triiodothyronine. | ||






